Relational Ethics factor influencing depressive symptom among adolescents Srinakharinwirot Prasarnmit

Main Article Content

Rattanapoom Watanapanyasakul


Objective: To study  influence of family relationships on depression and convergent validity among adolescent student. 

Methods: Researchers distributed the RES family relationship measurement test, Thai version, to students at Srinakharinwirot School, Prasarnmit, with a depression score of more than 15 scores from the Children ‘s depression inventory (CDI) Thai version from Grade 6 to Grade 10, totaling 88 people. To study the relation of the family relationship on the depression of adolescent students using the Pearson’s correlation coefficient. For evaluate convergent validity using analysis of variance: ANOVA and Stepwise multiple  regression.


Findings: Family relationships, both vertical and horizontal relationships, in general and in all aspects (trust, entitlement and loyalty) were significantly opposite of the depressive score. Statistically important both where the vertical family relationships was associated with the depressive score of -0.668, the horizontal family relationships was with the depression -0.429. Analysis of variance It was found that those who were very depressed had less mean of the family relationships score, overall and in all aspects. The regression model analysis It was found that the vertical relationship had an effect on the depressive score. Statistically significant which has a coefficient of -0.408 with a value of R2 of 0.443.


Conclusions  The family relationships from RES Thai version was associated with depression symptoms. RES Thai version had good accuracy and could be used as a predictor of the severity of depressive symptoms. This can be used in screening family conflicts to be used to assess the pathology of depression. As well as a more targeted and effective treatment plan for patients.


Keywords: Relational Ethics Scale (RES) in Thai version, vertical relationships, and horizontal relationships




Article Details

How to Cite
Watanapanyasakul, R. (2021). Relational Ethics factor influencing depressive symptom among adolescents Srinakharinwirot Prasarnmit. Journal of the Psychiatric Association of Thailand, 66(4), 417–428. Retrieved from
Original Articles


Auapisithwong S. A study of association between family relationship and adolescent depression. Journal of Mental Health of Thailand. 2020; 28(3): 231-39.

Barbato A, D’Avanzo B. Efficacy of couple therapy as a treatment for depression: A meta-analysis. Psychiatr Q 1999; 79: 121-132.

Beach SR, Katz J, Kim S, Brody JH. Prospective effect of marital satisfaction on depressive symptoms in established marriage: A dyadic model. J Soc Pers Relat 2003; 20: 355-371.

Beach SR, Fincham SD, Katz J. Marital therapy in the treatment of depression: Toward a third generation of therapy and research. Clin Psychol Rev 1998; 18(6): 635-661.

Birmaher B, Brent D, Bernet W, Bukstein O, Walter H, Benson RS, et al. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adolesc Psychiatry. 2007; 46: 1503-26.

Boszormenyi-Nagy I, Spark G. Invisible loyalties. New York: Brunner-Mazel; 1984.

Gangamma R, Bartle-Haring S, Glebova T. A study of contextual therapy theory’s relational ethics in couple in therapy. Family relations 2012; s61: 825-835.

Gangamma R, Bartle-Haring S, Holowacz E, Hartwell E, Glebova T. Relational ethics, depressive symptoms, and relationship satisfaction in couples in therapy. J Marital Fam Ther 2015; 41: 354-366.

Goldenthal P. Contextual Family Therapy: Assessment and intervention procedures. Sarasota: Professional Resource Pres; 1993.

Garber BD. Paternal alienation and the dynamics of enmeshed parent-child dyad. Fam Court Rev 2011; 49: 222-335.

Grames HA, Miller RB, Robinson WD, Higgins E,Hinton WJ. A test of contextual theory: The relationship among relational ethics, Marital satisfacation, Health problems and depression. Contemp Fam Ther 2008; 30: 183-198.

Hargrave TD, Jennings G, Anderson W. The development of a relational ethics scale. J Marital Fam Ther 2020; 17: 145-158.

Hargrave TD, Pfitzer F. The new contextual therapy: Guiding the power of give and take. New York: Brunner-Routledge; 2003.

Kaewpornsawan T, Tuntasood B. The prevalence of depression in 2nd year high school students in Bangkok. Journal of the Psychiatrist Association of Thailand 2012; 57(4): 395-402.

Lue BH, Wu WC, Yen LL. Expressed emotion and its relationship to adolescent depression and antisocial behavior in northern Taiwan. J Formos Med Assoc. 2010; 109: 128-37.

Martin A, Volkmar FR, editors. Lewis’s child and adolescent psychiatry: a comprehensive textbook. 4thed. Philadephia: Wolter Kluwer; 2007.

Phattharayuttawat S. Manual evaluation of psychiatrist. 4thed. Bangkok: Medical media; 2008.

Rived-Ocana M, Schweer-Collins M, Rodriguez-Gonzalez M, Crabtree SA, Botella-Garcia del Cid L, Hargreeve TD. Spanish adaptation of the relational ethics scale. Contemp Fam Ther 2020; 42: 346-359.

Sadock BJ, Sadock VA, Ruiz P. Synopsis of Psychiatry. 11thed. Philadephia: Wolter Kluwer; 2015.

Scott J, Dickey B. Global burden of depression: the intersection of culture and medicine. Brit J Psychiatry. 2003; 183: 92-4.

Stapp EK, Musci RJ, Fullerton JM, Glowinski AL, McInnis M, Mitchell P, et al. Patterns and predictors of family environment among adolescents at high and low risk for familial bipolar disorder. Journal of Psychiatric Research. 2019; 114: 153-160.

Trunkasombat U. Family therapy and family counseling. 5th ed. Bangkok: Thaiwattanapanij; 2011.

Trunkasombat U. Couple therapy. Bangkok: Thaiwattanapanij; 2011.

Trunkasombat U, Likanapichitkul D. The children’s depression inventory as a screen for depression. J Med Assoc Thailand 1997; 30: 491-9.

UNICEF Thailand. A situation analysis of adolescents in Thailand 2015-2016 [Internet]. Bangkok: UNICEF Thailand Country Office 2018. [cited 2019 Nov 5]. Available from: https://

Watanapanyasakul R. The study of Content Validity, Construct Validity, Reliability of Relational Ethics Scale (RES) in Thai Version. Nakhonnayok: Srinakharinwirot University; 2018.